How much rates vary
Facilitymedian $1 · 10th to 90th $0 to $4Professionalmedian $0 · 10th to 90th $0 to $1
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $0.33 Median $0.33 Typical High $0.35 | Facility | None | $0.33 | $0.33 | $0.35 |
Aetna Setting Professional Modifier None Typical Low $0.32 Median $0.33 Typical High $0.36 | Professional | None | $0.32 | $0.33 | $0.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.16 Median $0.17 Typical High $0.18 | Professional | 52 · Reduced service | $0.16 | $0.17 | $0.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.06 Median $0.07 Typical High $0.07 | Professional | 53 · Discontinued | $0.06 | $0.07 | $0.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 55 · Aftercare only | $0.05 | $0.05 | $0.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.03 | $0.04 | $0.04 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $0.59 Median $0.74 Typical High $0.74 | Professional | None | $0.59 | $0.74 | $0.74 |
Cigna Setting Facility Modifier None Typical Low $0.42 Median $0.42 Typical High $0.42 | Facility | None | $0.42 | $0.42 | $0.42 |
Cigna Setting Professional Modifier None Typical Low $0.36 Median $0.36 Typical High $3.39 | Professional | None | $0.36 | $0.36 | $3.39 |
Emblem Health Setting Professional Modifier None Typical Low $0.69 Median $1.10 Typical High $1.26 | Professional | None | $0.69 | $1.10 | $1.26 |
Geisinger Setting Facility Modifier None Typical Low $0.76 Median $0.76 Typical High $0.76 | Facility | None | $0.76 | $0.76 | $0.76 |
Geisinger Setting Professional Modifier None Typical Low $0.45 Median $0.52 Typical High $0.76 | Professional | None | $0.45 | $0.52 | $0.76 |
Martin's Point Setting Facility Modifier None Typical Low $0.33 Median $0.33 Typical High $0.33 | Facility | None | $0.33 | $0.33 | $0.33 |
Martin's Point Setting Professional Modifier None Typical Low $0.32 Median $0.35 Typical High $0.36 | Professional | None | $0.32 | $0.35 | $0.36 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.16 Median $0.17 Typical High $0.18 | Professional | 52 · Reduced service | $0.16 | $0.17 | $0.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.06 Median $0.07 Typical High $0.07 | Professional | 53 · Discontinued | $0.06 | $0.07 | $0.07 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 55 · Aftercare only | $0.05 | $0.05 | $0.05 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.03 | $0.04 | $0.04 |
Oscar Health Setting Professional Modifier None Typical Low $0.71 Median $1.00 Typical High $1.10 | Professional | None | $0.71 | $1.00 | $1.10 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.52 Median $2.34 Typical High $4.07 | Facility | None | $0.52 | $2.34 | $4.07 |
UPMC Health Plan Setting Professional Modifier None Typical Low $0.52 Median $0.52 Typical High $0.71 | Professional | None | $0.52 | $0.52 | $0.71 |
United Setting Facility Modifier None Typical Low $0.91 Median $0.91 Typical High $1.10 | Facility | None | $0.91 | $0.91 | $1.10 |
United Setting Professional Modifier None Typical Low $0.33 Median $0.37 Typical High $0.62 | Professional | None | $0.33 | $0.37 | $0.62 |
Where Pennsylvania sits
The same service costs 2.3 times more in Montana than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Pennsylvania· 33rd of 51
$0.45
MT $0.81HI $0.35
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.